Toronto to Zero A Means to Building Our Future

March 7th, 2019

Overview

• What is Toronto to Zero and the global Fast-Track City

program?

• Why is Toronto to Zero needed and how is it different from what

we do now?

• How will Toronto to Zero work collaboratively with community

members living with and affected by HIV?

• What is the role of task groups and co-chairs in Toronto to Zero?

Why make Toronto a Fast-Track City?

Toronto has 20% of Ontario’s population but more than half of people living with HIV

in the province

Each year more than half of all new HIV diagnoses provincially are made in Toronto

2.6

7.7

2.2

16.9

2.8 3.2

5.2

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5

10

15

20

Northern Ottawa Eastern Toronto Central East Central West South West

New

HIV

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per

10

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Rate of new HIV diagnosis for the City of Toronto and Ontario Health Regions, 2017

What will it take to end the HIV epidemic in Toronto?

Dramatically reduce the number of new HIV transmissions

Maximize the number of people living with HIV who:

• are diagnosed quickly after contracting HIV

• are immediately linked to care and treatment

Improve the health outcomes of people living with HIV so they

can be fully engaged in their families, work and social lives

Stop HIV stigma and discrimination

A passionate and engaged community – then and now

Fast-Track Cities Initiative

• Since 2014 more than 250 cities have signed up

• Cities involved have made significant progress in:

• Reducing new infections

• Expanding access to treatment and care

• Bringing HIV back into public focus

• Some cities (Amsterdam, London, and

Melbourne) have already surpassed their targets

• It’s a timely opportunity to build on Toronto’s past

successes and expand existing resources

What are our objectives with Toronto to Zero?

•Reduce by two-thirds – from 434 to 145 – the number of new HIV transmissions in Toronto annually

•Surpass the UNAIDS 90-90-90 goals and reach more ambitious targets – 95-95-97

•Ensure all populations most affected by HIV share in the benefits of care and treatment

•Establish a “fourth 90”: to improve the overall health, longevity and quality of life for people living with HIV

End HIV stigma and discrimination

No one left behind

• Our movement has always been about ensuring that everyone

has equitable access to health care

• Toronto to Zero re-emphasizes the need for testing, treatment,

care and support for all populations at risk

• Ensure everyone living with HIV receives comprehensive,

culturally safe care for all their health needs, leading to

improved health and quality of life

Champion Team

• A team of local stakeholders, with minimum 25% representation from

people living with HIV and/or from populations affected by HIV

• Guiding the project through:

• Initial formulation

• Development of a comprehensive action plan

• Engagement with community stakeholders

• Oversight of implementation

• Co-chairs: Murray Jose-Boerbridge and Darien Taylor

Champion Team membership

• Community members

• Toronto HIV/AIDS Network

• AIDS Committee of Toronto

• Black Coalition for AIDS Prevention

• Committee for Accessible AIDS Treatment

• Maggie’s Toronto Sex Worker Action Project

• Toronto People With AIDS Foundation

• Ontario Aboriginal HIV/AIDS Strategy

• Women’s Health in Women’s Hands

• Casey House

• Fife House

• South Riverdale Community Health Centre

• Church Wellesley Health Centre

• University Health Network

• Toronto Public Health

• Toronto Central LHIN

• Public Health Ontario

• Ministry of Health and Long-Term Care

• Ontario HIV Treatment Network

• Canadian Foundation for AIDS Research

• ViiV Healthcare (technical advisor)

• Gilead Sciences (technical advisor)

The Champion Team, with support from task groups of local

stakeholders and input from community consultation, is putting

together an action plan oriented around 5 key goals:

1) Drive Down New Transmissions

2) Launch Innovative, Accessible Testing Programs

3) Link and Retain People with HIV in Care

4) Improve the Health and Well-being of People Living with HIV

5) Stop HIV Stigma

Implementing our vision

Task groups

• Prevention – including PrEP & PEP

• Testing

• Linkage, Retention and Adherence

• Stigma

• Metrics, Indicators and Evaluation

• Gay men’s health hub

• African, Caribbean and Black Health

• Indigenous Community Health

• Women’s and Children’s Health

• Newcomer, immigrant and refugee

health

• Complex mental health and substance

use

• Aging and co-morbidities

• Housing and other social issues

• Community Engagement

• Prisoner and Ex-Prisoner Health

Implement, Evaluate and Scale-

up Effective Initiatives

Write an Action Plan

Develop Recommendations

Form Thematic Task Groups

Developing an Action Plan

Community consultation activities to inform processes

Community engagement

• Community consultation, engagement and

action is key.

• Strategies to engage diverse communities most

affected by HIV over the course of the initiative:

Social media Online survey

Participation in task groups

In-person consultations

Action and momentum

Toronto to Zero will support and build on activities already underway:

PrEP scaleup

•New, community

oriented health

services

•Connecting people living

with HIV to care

•Better, more

accessible testing

•Anti-stigma campaigns

Future of Toronto to Zero

An active partnership among community members,

community-based organizations, health care providers, and

government

A shared action plan to end the epidemic

An opportunity to take what we already do well and do it

better

A renewed energy and focus on HIV and the needs of our

communities

Stay connected

TorontoToZero.ca

TorontoToZero@ohtn.on.ca

@ TTZHIV